在中国实施肺部康复指南的障碍和促进因素:使用实施科学框架进行定性研究
Yuanmin Jia1, Guilin Cheng1, Haixia Wang1
1School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, 44 Wenhua Xi Road, Lixia District, Jinan, 250012, Shandong, China.
在肺部和重症监护医学中实施肺部康复指南面临着沟通不良和时间限制等障碍. 环境重组和培训等策略可以改善患者的遵守和优化患者管理.
科学领域:
- 肺部和重症监护医学 肺部和重症监护医学
- 实施科学 实施科学
- 医疗保健管理的管理
背景情况:
- 肺部康复指南对于管理呼吸系统疾病至关重要.
- 在临床实践中有效实施仍然是一个挑战.
- 了解跨学科观点是成功采用指南的关键.
研究的目的:
- 确定在中国实施肺部康复指南的障碍和促进因素.
- 探索关于准则采用的跨学科视角.
- 确定有效的上下文实施战略.
主要方法:
- 使用实施研究综合框架 (CFIR) 和理论领域框架 (TDF) 的定性研究.
- 与42名医疗保健专业人员进行的半结构化采访,涉及四个肺部和重症监护医学部门.
- 使用演编码方法对采访成绩单的内容分析.
主要成果:
- 关键障碍包括环境障碍,指导方针的复杂性,时间限制,跨学科沟通不足以及缺乏意识/技能.
- 促进者包括社会支持,政策影响,证据库,规划,反和动机.
- 建议的策略包括环境重组,培训,团队会议和数字工具.
结论:
- CFIR和TDF框架有效评估了指导方针实施的促进者和障碍.
- 调整是必要的,以改善对肺部康复指南的遵守.
- 告知未来的干预措施可以优化PCCM中肺部康复管理.
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